The URL can be used to link to this page

302661 08/31/16 `'� �,q,• CITY OF CARMEL, INDIANA VENDOR: 368918 ;, ® 3! ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****3,585.45* ,�; CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 302661 9M«oN.�. NILES OH 44446 CHECK DATE: 08131/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 91262 1,795.00 SPECIAL DEPT SUPPLIES 102 4239011 92636 960.00 SPECIAL DEPT SUPPLIES 102 4239011 92640 582.45 SPECIAL DEPT SUPPLIES 102 4239011 92692 98.00 SPECIAL DEPT SUPPLIES 102 4239011 92755 150.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NILES, OH 44446 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $3,435.45 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 92640 42-390.11 $582.45 1 hereby certify that the attached invoice(s),or 8/23/16 92692 $98.00 1120 10 1120 102 bill(s)is(are)true and correct and that the 91262 42-390.11 $1,795.00 8/23/16 92640 $582.45 1120 �1.0 materials or services itemized thereon for 1120 1 102 92636 42-390.11 $960.00 8/23/16 92636 $960.00 1120 f102_ji which charge is made were ordered and 1120 102 92692 42--390.11 $98.00 received except 8/23/16 91262 $1,795.00 1120 Zt02 1120 102 Tuesday,August 23,2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice #9263 1317 North Road Niles, OH 44446 P®' 800-392-7233 Order Date: 8/15/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/15/2016 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 80 80 0 AM-SPOOS50 Electrode, Adult/Pediatric Foam 38mm, 12.00 bag/50 960.00 50/bag $960.00 Subtotal $960.00 Shipping Tax @ TOTAL $960.00 Payments Credits NE r Page 1 of 1 Iry®ice #92692 1317 North Road Niles, OH 44446 PO: ,e v 800-392-7233 Order Date: 8/17/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/17/2016 Terms: Net 30 Ship Method: Shipped w/another order Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 4 2 2 BO-GS073 Glove Box Holder, Large Single 49.00 each 98.00 Stainless Steel $98.00 Subtotal $98.00 Shipping Tax @ TOTAL $98.00 Payments Credits Page 1 of,1 Invoice #91262 1317 North Road ■��' Niles, OH 44446 PO: tom �� 800-392-7233 Op/� Order Date: 6/1/2016 t Public SafetyTechnology sales@penncare.net /'1sT® Invoice Date: 6/14/2016 4 U�' Terms: Net 30 Ship Method: Drop Ship Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 • . . BOd Code Carmel Fire Department 5 5 0 MT-M5101 BLS/ALS Total System, OMNI Pro (ICB) 359.00 bag 1,795.00 -/ Infection Control Dark Gray Vinyl $1,795.00 Subtotal $1,795.00 Shipping Tax TOTAL $1,795.00 Payments Credits 'Balance Due oe Page 1of1 Invoice #92640 1317 North Road PO: Tom Small Niles, OH 44446 800-392-7233 Order Date: 8/15/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/15/2016 Terms: Net 30 Ship Method: Shipped w/another order Sill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 10 10 0 MPC-11996000093 Quick-Combo Pads, Pedi Edge RTS 34.95 pair .349.50 -/ 24- 12 12 MPC-11240000016 Monitor Paper, 100mm, 2/box 17.50 box/2 210.00 -/ 1 1 0 DY-4250 Razor, Twin Blade, 300/case 22.95 case/300 22.95 $582.45 Subtotal $582.45 Shipping Tax @ TOTAL $582.45 Payments Credits Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NILES, OH 44446 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $150.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 92755 42-390.11 $150.00 1 hereby certify that the attached invoice(s),or 8/26/16 92755 $150.00 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday,August 26,2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Inv®ice # 92755 1317 North Road Niles, OH 44446 PO. Tom '� 800-392-7233 Order Date: 8/4/2016 Public Safety Technology sales@penncare.net Invoice Date:-8/19/2016 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 K Carmel Fire Department 2 2 0 MPC-11996000340 Sensor, Physio-Control LIFEPAK 15 75.00 each 150.00 Masimo SET RC R20 Rainbow, Disposable $150.00 Subtotal $150.00 Shipping Tax TOTAL $150.00 Payments Credits .F, : RR __�. Page 1 of 1